蛊与鼓同。以言其急实如鼓。非蛊毒之蛊也。
俗谓之膨 。又谓之蜘蛛病。所感不同。止是腹大而急。余处皮肉如常。未辨何证。宜
用木香流气饮。或五苓散。
此病多以积渐而致。或者病后藏气未复。邪气乘虚。切不可妄下。气急者。苏子降气汤
虚者。可用谷神加禾散。加熟附子半钱。佐以复元丹。
若腹内热急。大便或秘者。宜备急丸。或木香槟榔丸。或用大黄、浓朴、陈皮、枳实、
通大便上策。
若因食伤而腹暴胀。见伤门。伤食证。
中毒腹胀。权宜用解毒丸。或甘豆汤。
（附下血）
风寒暑湿。足常履之。遂成香港脚。诸邪气。不问久近干湿。及属何经。并可用除湿汤加
木瓜槟
榔白芷各半钱。或芎芷香苏散。加赤芍药萆 各半钱。仍吞木瓜丸。此药宜常服。香港脚发动
而两足痛不可忍者。五积散。加全蝎三五个。入酒煎。
若鹤膝风。则于五积散中。加松木杉木二节。
香港脚发动。必身痛发热。不可妄用伤寒等药。缘香港脚类伤寒。若卒起脚弱或小腹不仁。
或举
体转筋。或见食呕逆。或两颈赤肿。盒饭作香港脚治。干者于前二药中。或更加萝卜子炒研碎
半钱。湿者于前二药中。加青橘皮十数片。
切记香港脚不可令下寒。亦不可妄用寒药。得温则消散。
香港脚跟注一孔。深半寸许。每下半日。疼异常。此乃香港脚注成漏。以人中白于火上 。
中有
水出。滴入疮口。香港脚发热不退者。败毒散。加木瓜一钱。或用败毒散。五积散。各半帖和
匀
名交加散。更加木瓜一钱。若久履湿。而得两脚或肿或疮。五苓散下。或和气饮。加木瓜萝
卜子各半钱。大黄一钱。
香港脚小便不通者。生料五苓散一帖。除湿汤一帖。加木瓜二钱。重分二服。若小大便俱
不通。五苓散复元通气散。
香港脚喘急者。此系入腹。宜苏子降气汤。或沉香降气汤。仍佐以养正丹。或四磨饮。
香港脚迫肺。令人喘嗽。宜小青龙汤。每服加入槟榔一钱。重煎服。
香港脚畏食者。宜生料平胃散。加木瓜一钱。呕逆恶心。八味平胃散。加木瓜一钱。
香港脚日久。脚胫枯细。或寒或热。或疼或痒。或一脚偏患软弱。 曳。状如偏风者。宜
小续命汤
加木瓜。或独活寄生汤。附子八味汤。吞活络丹。虎骨四斤丸之类。香港脚血虚。芎芷香苏
散。内加木瓜羌活。赤芍药。如芎芷之类。
脚转筋。用龙胶散。
脚心痛者。宜大圣散二钱。入木瓜末半钱一作一钱。豆淋酒调。仍用川椒香白芷草乌。
煎汤洗。孕妇脚肿。枳壳散。详见妇人门。
蛊胀与鼓胀相同。是指腹部胀满急迫，如同击鼓一般。这里所说的“蛊”并非指蛊毒之蛊。
民间称之为“膨脝”。又叫做蜘蛛病。虽然致病原因不同，但表现都是腹部大而急迫，身体其他部位的皮肉如常。在尚未辨别具体证型之前，适宜使用木香流气饮。或者五苓散。
这种病多因逐渐积累而成。或者是病后脏腑之气未恢复，邪气乘虚而入。切不可妄用攻下法。对于气急者，可用苏子降气汤；对于虚证者，可用谷神加禾散，加入半钱熟附子，并佐以复元丹。
如果腹内热急，大便有时秘结的，适宜用备急丸。或者木香槟榔丸。或者使用大黄、浓朴、陈皮、枳实，以通利大便为上策。
如果是因饮食损伤而导致腹部突然胀满，参见伤门中的伤食证。
中毒引起的腹胀，权宜之计可用解毒丸。或者甘豆汤。
（附：下血）
风寒暑湿之邪，足部经常接触，遂成香港脚（脚气）。各种邪气，不论病程久近、干湿属性，以及属于哪一经络，都可以使用除湿汤，加入木瓜、槟榔、白芷各半钱。或者芎芷香苏散，加入赤芍药、萆薢各半钱。同时吞服木瓜丸。此药适宜常服。若香港脚发作，导致两足疼痛难以忍受的，用五积散，加入全蝎三五个，用酒煎服。
如果是鹤膝风，则在五积散中加入松木、杉木各二节。
香港脚发作时，必然伴有身体疼痛、发热，不可妄用治疗伤寒等药物。因为香港脚的症状类似伤寒。如果突然起病出现脚弱或小腹麻木不仁，或者全身转筋，或者见食即呕逆，或者颈部两侧红肿，应当按香港脚治疗。干燥型的在前两种方剂中，可再加炒研碎的萝卜子半钱；湿润型的在前两种方剂中，加入青橘皮十数片。
切记香港脚不可令下部受寒，也不可妄用寒凉药物。得到温煦则邪气消散。
香港脚脚跟处溃烂成一孔，深约半寸，每当下半夜时疼痛异常。这是香港脚注毒成漏疮。将人中白放在火上烧，其中有水渗出，滴入疮口。香港脚发热不退的，用败毒散，加入一钱木瓜。或者用败毒散、五积散各半帖混合均匀，名为交加散，再加入一钱木瓜。如果是长期行走湿地而得病，导致双脚或肿或生疮，用五苓散送服。或者和气饮，加入木瓜、萝卜子各半钱，大黄一钱。
香港脚导致小便不通的，用生料五苓散一帖，除湿汤一帖，加入二钱木瓜，分两次服用。如果大小便都不通，用五苓散合复元通气散。
香港脚导致喘急的，这是病邪入腹所致，适宜用苏子降气汤。或者沉香降气汤。并佐以养正丹。或者四磨饮。
香港脚压迫肺部，令人喘咳，适宜用小青龙汤。每服药时加入一钱槟榔，重新煎煮服用。
香港脚患者畏食的，适宜用生料平胃散，加入一钱木瓜。如果出现呕逆恶心，用八味平胃散，加入一钱木瓜。
香港脚日久，小腿枯细，或冷或热，或疼或痒，或者一只脚偏患软弱无力，拖曳而行，状如偏风的，适宜用小续命汤加木瓜。或者独活寄生汤。附子八味汤，吞服活络丹。虎骨四斤丸之类。香港脚血虚的，用芎芷香苏散，内部加入木瓜、羌活、赤芍药。如芎芷之类的方剂。
脚部转筋，用龙胶散。
脚心痛者，适宜用大圣散二钱，加入半钱木瓜末（一作一钱），用豆淋酒调服。仍需用川椒、香白芷、草乌煎汤洗脚。孕妇脚肿，用枳壳散。详见妇人门。
Gu distension is identical to Drum distension. It describes the abdomen as tight and full like a drum. It does not refer to Gu poison (a type of toxic accumulation).
Commonly referred to as Peng Ting (abdominal distension), it is also called Spider disease. The causes differ, but the manifestation is solely an enlarged and tense abdomen, while the skin and flesh elsewhere remain normal. Before distinguishing the specific syndrome, Muxiang Liqi Yin (Wood Fragrance Qi-Regulating Decoction) or Wuling San (Five-Ingredient Poria Pill) are suitable.
This disease often develops gradually due to accumulation. Alternatively, it may occur when visceral Qi has not recovered after an illness, allowing pathogenic factors to invade via deficiency. One must absolutely avoid reckless purgation. For those with Qi urgency, Suzi Jiangqi Tang (Perilla Seed Descending-Qi Decoction) is indicated; for the deficient, Gushen Jiahe San (Grain-God Plus Grain Powder) can be used, with Ban Qian (half qian) of Shu Fuzi (Prepared Aconite Root) added, assisted by Fuyuan Dan (Restore-Yuan Pill).
If there is heat and urgency in the abdomen, or constipation, Beiji Wan (Emergency Rescue Pill) or Muxiang Binglang Wan (Wood Fragrance and Betel Nut Pill) are suitable. Alternatively, using Dahuang (Rhubarb Rhizome), Houpo (Magnolia Bark), Chenpi (Aged Tangerine Peel), and Zhishi (Immature Bitter Orange) to unblock the bowels is the superior strategy.
If abdominal distension arises suddenly from dietary injury, refer to the Injury Section: Dietary Injury Syndrome.
For toxic-induced abdominal distension, use Jiedu Wan (Detoxification Pill) or Gandou Tang (Sweet Bean Decoction) as a temporary measure.
(Attached: Lower Bleeding)
Wind, Cold, Summerheat, and Dampness are pathogens that the feet frequently encounter, leading to Hongxiangjiao (Hongxiangjiao / Foot Qi Disease). Regardless of whether the pathogenic factors are recent or long-standing, dry or damp, or which meridian they belong to, Chushi Tang (Dampness-Removing Decoction) can be used, adding Mugua (Chaenomeles Fruit), Binglang (Areca Seed), and Baizhi (Angelica Dahurica Root), each half qian. Or Xiongzi Xiangsu San (Ligusticum, Angelica Dahurica, and Perilla Leaf Powder), adding Chishao Yao (Red Peony Root) and Bib Xia (Dioscorea Hypoglauca Rhizome), each half qian. Swallow Mugua Wan (Chaenomeles Pill) simultaneously. This medication is suitable for regular consumption. When Hongxiangjiao attacks with unbearable pain in both feet, Wuji San (Five Accumulations Powder) is used, adding three to five Quanxie (Scorpion), decocted in wine.
If it is He Xi Feng (Crane Knee Wind), add two segments of Song Mu (Pine Wood) and Shan Mu (Cedar Wood) to Wuji San.
When Hongxiangjiao attacks, body pain and fever inevitably occur. Do not recklessly use medicines for Taiyang Disease (Cold Damage), because Hongxiangjiao resembles Taiyang Disease. If the onset is sudden with weak legs or insensibility in the lower abdomen, or general muscle spasms, or vomiting/nausea upon seeing food, or redness and swelling on both sides of the neck, it should be treated as Hongxiangjiao. For the dry type, add half qian of fried and ground Luobo Zi (Radish Seed) to the aforementioned two formulas. For the damp type, add ten or more slices of Qing Ju Pi (Green Tangerine Peel) to the aforementioned two formulas.
Remember: Hongxiangjiao must not be allowed to become cold below, nor should cold-natured medicines be used recklessly. Warmth leads to dissipation.
If Hongxiangjiao causes an ulcer at the heel, about half cun deep, with excruciating pain every half day, this is Hongxiangjiao Zhu Cheng Lou (Hongxiangjiao Abscess forming a Fistula). Burn Renzhong Bai (Human Tooth Ash) over fire until water exudes, then drip into the wound. For Hongxiangjiao with persistent fever, Baidu San (Defeat-Toxin Powder) is used, adding one qian of Mugua. Or mix Baidu San and Wuji San, half a dose each, evenly combined, named Jiaojia San (Cross-Added Powder), adding one qian of Mugua. If caused by long-term walking in dampness, resulting in swollen or ulcerated feet, administer Wuling San orally. Or Heqi Yin (Harmonizing-Qi Infusion), adding half qian of Mugua and Luobo Zi, and one qian of Dahuang.
For Hongxiangjiao causing urinary obstruction, take one dose of Shengliao Wuling San (Raw Material Five-Ingredient Poria Pill) and one dose of Chushi Tang, adding two qian of Mugua, divided into two heavy decoctions. If both urination and defecation are blocked, combine Wuling San with Fuyuan Tongqi San (Restore-Yuan Unblocking-Qi Powder).
For Hongxiangjiao causing panting and urgency, this indicates pathogen entering the interior. Suzi Jiangqi Tang or Chenxiang Jiangqi Tang (Sandalwood Descending-Qi Decoction) is suitable, assisted by Yangzheng Dan (Nourish-Righteous Pill) or Simo Yin (Four-Mortar Infusion).
When Hongxiangjiao presses on the Lung, causing coughing and wheezing, Xiao Qinglong Tang (Minor Green Dragon Decoction) is indicated. Add one qian of Binglang per dose, and re-decoct before taking.
For Hongxiangjiao causing aversion to food, Shengliao Pingwei San (Raw Material Stomach-Pacifying Powder) with one qian of Mugua is suitable. For vomiting, nausea, and disgust, Bawei Pingwei San (Eight-Ingredient Stomach-Pacifying Powder) with one qian of Mugua is suitable.
For chronic Hongxiangjiao, where the calves are withered and thin, alternating cold and heat, pain and itching, or unilateral weakness dragging the leg, resembling Bi Syndrome (Paralysis), Xiaoxuming Tang (Minor Xu-Ming Decoction) with Mugua is suitable. Or Duhuo Jisheng Tang (Angelica Pubescens and Dorstenia Decoction), Fuzi Bawei Tang (Aconite Eight-Ingredient Decoction), swallowing Huoluo Dan (Unblock-Vessels Pill), or Hugu Sijin Wan (Tiger Bone Four-Jin Pills), etc. For Hongxiangjiao with Blood deficiency, Xiongzi Xiangsu San with added Mugua, Qianghuo (Notopterygium Root), and Chishao Yao is used. Similar formulas containing Xiongzi (Ligusticum Chuanxiong Rhizome) and Baizhi are applicable.
For foot spasms, use Longjiao San (Dragon Gum Powder).
For sole pain, Dasheng San (Great Sage Powder) two qian, mixed with half qian (or one qian) of Mugua powder, taken with Doulin Jiu (Bean-Soaked Wine). Also wash with a decoction of Chuanjiao (Sichuan Pepper), Xiang Baizhi (Fragrant Angelica Dahurica), and Caowu (Aconitum Carmichaelii Lateral Root). For pregnant women with foot edema, use Zhiqiao San (Immature Bitter Orange Powder). See the Women's Section for details.